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Most babies dont develop the suck-swallow-breathe reflex thats critical for feeding until about week 32 in the womb, eight weeks before theyre considered full-term. It can also be challenging to figure out whether your baby is getting enough by breast alone if youre used to supplementing feedings. Babies do not normally learn to co-ordinate the sucking, swallowing and breathing needed for feeding until about 34 to 36 weeks of pregnancy. If your baby is born before this time, they may need to have breast milk via a feeding tube to begin with. Premature babies cannot go to the breast until they are at 34 weeks gestation this is simply not true. Work in nicus friendly to breastfeeding, especially in sweden, have shown that babies can start taking the breast even by 27 to 28 weeks gestation and many are able to latch on and drink milk from the breast by 30 weeks gestation. Breast milk has many advantages over other methods of feeding, but in some situations it may not be possible to feed your baby breast milk, or your baby may need extra supplements to breast milk. Cup feeding is less common than bottle feeding, and is not offered in all units. Cup feeding can be done with expressed breast milk or formula, or a combination of both. Cuddle your baby in an upright position and hold the rim of the feeding cup against her lips. Feeding is a complicated skill, and premature babies get tired very quickly. During this learning time, your baby might suckle only a very small amount of milk from your breast, with the rest fed by tube. It can take some premature babies a while to learn how to breastfeed. Mothers and babies do better at breastfeeding when they have support. Premature babies are often too immature to feed at the breast immediately after birth. In addition to prematurity, they often have medical problems, and may be placed in the nicu (neonatal intensive care unit) until they are stable enough to feed successfully via bottle or breast. Non-nutritive sucking (nns) involves letting the preemie nurse from the mothers breast, which is emptied by. Moms breastfeeding a premature baby often need to pump breast milk that can be fed to their babies via a feeding tube. Until about 32 weeks, babies cant coordinate sucking, swallowing, and breathing well enough to breast or bottle-feed. (read more about kangaroo care below) premature babies have weak neck muscles, so a mother will need to support her babys neck, by placing her hand behind the neck and her index finger and thumb lightly over the ears. Many premature babies will be stable in skin-to-skin contact after 90 minutes, often to the surprise of health professionals. Decisions need to be made about feeding and fluids and continued care. Oxygen by mask or by cpap or continuous positive airway pressure can easily be arranged while in skin-to-skin contact, drips and feeding tubes can be secured sideways.

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